Chelsey Trott
New Castle,PA
Summary
Dedicated and compassionate Plan Sponsor Service Consultant and formerly Certified Medical Assistant with relevant experience in fast-paced healthcare settings. Strong background in patient care, medical terminology, and electronic health record systems. Showcased ability to manage multiple tasks simultaneously and adapt to changing environments or demands. Success noted in improving clinic workflow efficiency and contributing positively to team-focused environments.
Overview
10
10
years of professional experience
Work History
Plan Sponsor Service Consultant
Aetna, a CVS Health
, PA
01.2023 - Current
- Resolved discrepancies between provider applications and available data sources.
- Responded promptly to inquiries from providers regarding their status within the network.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Maintained accurate records regarding all aspects of the enrollment process in a secure database.
- Performed verification checks for new provider enrollments in accordance with company policies and procedures.
- Conducted audits of existing providers' records to verify continued eligibility for participation in network programs.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Updated and maintained databases with current Provider information.
Customer Service Representative
CVS Caremark
, PA
10.2021 - 01.2023
- Recognized by management for providing exceptional customer service.
- Provided customer service to members regarding inquiries related to pharmacy benefits and coverage.
- Adhered to HIPAA regulations when handling confidential information related to patients' medical records.
- Assisted with training new staff on processes related to the management of prescription benefits.
- Provided guidance on resolving complex pharmacy benefit matters.
- Facilitated communication between providers, pharmacists, and members concerning medication coverage issues or questions.
- Researched, identified and resolved discrepancies between claims processing systems.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Certified Clinical Medical Assistant
Preferred Primary Care Physicians
Bridgeville, PA
05.2015 - 08.2021
- Conducted patient interviews to gather chief complaint, health history, vital signs and information about current medical issues.
- Incorporated outside records into charts and EHR.
- Assisted physicians with clinical procedures such as suturing, blood draws, and administering injections.
- Processed prior authorization requests for medications according to plan guidelines.
- Educated patients about medications, procedures and physician's instructions.
- Maintained up-to-date records of patient care, condition, progress, and concerns in the electronic health record system.
- Facilitated referrals from primary care providers to specialists for further testing or treatment options.
- Communicated with pharmacies for prescription refills on behalf of supervising physician.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Answered incoming phone calls, verified and scheduled appointments with patients, chart review and preparation, pre-admission and consent forms.
- Participated in continuing education courses relevant to clinical medical assisting duties.
Education
Associate of Science - Medical Assisting
Pittsburgh Technical Institute
Oakdale, PA03-2014
Skills
- Medical billing and coding
- Clinical documentation
- HIPAA compliance
- Clinical and administrative support
- Medical terminology knowledge
- Medicare part D
- Prescription drug plans
- Pharmacy benefit management
- Prior authorization
- Healthcare industry
- Pharmacology
- Multitasking Abilities
- Training support
- Organizational skills
- Task prioritization
- Time management
- Problem-solving abilities
Timeline
Plan Sponsor Service Consultant
Aetna, a CVS Health
01.2023 - Current
Customer Service Representative
CVS Caremark
10.2021 - 01.2023
Certified Clinical Medical Assistant
Preferred Primary Care Physicians
05.2015 - 08.2021
Associate of Science - Medical Assisting
Pittsburgh Technical Institute
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